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The Family Making Billions from the Opioid Crisis

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Re: The Family Making Billions from the Opioid Crisis

#71

Earlier quoted context omitted.

Sometimes buildings are named after folks just because they were awesome. Too bad it's not easy to distinguish between awesome people who had buildings named after them from the much less awesome people who essentially bought the naming rights to a building.

One indicator is whether the person was still alive when the building was named. Naming stuff after yourself when you're still alive ( https://chanzuckerberg.com ) is a good way to cheapen it.

No, naming it after yourself cheapens it, dead or alive. Someone else has to do it.

Re: The Family Making Billions from the Opioid Crisis

#72
post #27

Aren’t the doctors to blame for this as well? It always surprised me how quickly and easily they prescribe serious painkillers. A few years ago I had a tooth pulled, and the doctor gave me prescription painkiller. In the end, I ended up using regular ibuprofen, and that was more than enough. I wonder how much of this comes pharmaceutical sales reps pressuring the doctors to use their medicine. That whole system seems…

I'd agree doctors are partly to blame, and I've had a similar experience. A couple years ago I went to the ER to get a dislocated shoulder fixed, and they sent me home with percocet, even though I told them repeatedly that the pain wasn't too bad any more and I didn't want it.

Please be aware how figured are paid and rated. They're micromanaged nowadays like they work at Arby's. If you come to the ER and later come back for the same reason, the doctor not only doesn't get paid for the second visit, they get dinged from insurance and from the hospital. They're highly incentivized to get you in and out.

Re: The Family Making Billions from the Opioid Crisis

#73
post #67

In my experience with local philanthropy, there are donors who have no interest in "naming opportunities" and those for whom it is all about the name. To me it says a lot about the character of the donor if they specifically want as little fuss as possible about the donation, and especially if they do not want something named after them. It is the cause they support, not their own egos. Personally, the more often I s…

I’m more of a consequentialist; I consider a larger philanthropist who cares about public attribution to be more admirable than someone who is a smaller philanthropist but doesn’t care about public attribution. Personally, I would absolutely like to have my name on something if I were to donate tens or hundreds of millions of dollars towards it. In my opinion the intention or ego of a philanthropist is approximately…

It is not a question of "good" it is a question of my admiration of the donor. On my organizations drives, I completely supported the naming campaigns because I accepted the view that some donors generosity is tied to their naming. I am happy that those named people chose to support a cause that I care about. But I always instructed staff members to honour the small donor as much as the large - it might be as much of a percentage of their net worth in both cases. And I will always have respect for the donors of large amounts who do not need to be named.

Re: The Family Making Billions from the Opioid Crisis

#74

I was on Oxy for about a month after smashing one of my vertibraes into pieces in a climbing accident, I was prescribed more than three times as much. I walked through hell to get out of that crap; nothing else I've encountered even comes close, including heroine and cocaine. There are several natural, less addictive and less harmful methods for treating chronic pain; cannabis, mushrooms and meditation among others.…

Perdue Pharma, the producer of Oxy, is basically making half of its customers into drug addicts by lying about "12-hours" of "effective" pain relief.

The LA Times ran an investigation into Perdue Pharma's claim[1] and the article is incredibly disturbing. This is the killer quote:

> "More than half of long-term OxyContin users are on doses that public health officials consider dangerously high, according to an analysis of nationwide prescription data conducted for The Times."

Perdue Pharma has been lying about the 12-hour pain relief effect for decades. They wanted to dominate the 12-hour pain relief market. Whenever a doctor prescribed for a smaller interval of time, Perdue screamed bloody murder and sought to "refocus" doctors at all cost on the "12-hour rule" to ensure the drug stays in the 12-hour market share. To "refocus" doctors, Perdue Pharma tells doctors to prescribe stronger doses, rather than more frequent ones, and this leads to serious problems with reliance.

[1]: http://www.latimes.com/projects/oxycontin-part1/

Re: The Family Making Billions from the Opioid Crisis

#75

In my experience with local philanthropy, there are donors who have no interest in "naming opportunities" and those for whom it is all about the name. To me it says a lot about the character of the donor if they specifically want as little fuss as possible about the donation, and especially if they do not want something named after them. It is the cause they support, not their own egos. Personally, the more often I s…

Of all the ways a person, especially a rich one, can stroke their ego, philanthropy is probably one of the better ones.

IMO "Ego" should not be considered a bad word. We all have one, and we all enjoy stroking it. It's human. For some reason we have a hard time acknowledging that.

Re: The Family Making Billions from the Opioid Crisis

#76
post #63

... Medical Advertising Hall of Fame... This is a real thing.[1] They really give out awards for medical advertising. Typical writeup: "Ambien dominated the insomnia market like few products ever have. Our goal was to introduce a new way of thinking about sleep, and to introduce Rozerem as a new option for the treatment of insomnia. In order to take down Goliath, Rozerem needed to spend BIG. $200 million in broadcast…

Ick! This reinforces my belief that direct-to-consumer advertising of prescription drugs should be illegal.

I'm more concerned people dragoon their doctors based on some half-incoherent Super Bowl ad. They can't possibly be convinced that's ideal for their health in most cases, but I think health insurance hides the costs of wasting your doctor's time.

(Which is to say, I wouldn't be concerned about making it illegal if it stopped being so effective.)

Re: The Family Making Billions from the Opioid Crisis

#77
post #40
post #27

Aren’t the doctors to blame for this as well? It always surprised me how quickly and easily they prescribe serious painkillers. A few years ago I had a tooth pulled, and the doctor gave me prescription painkiller. In the end, I ended up using regular ibuprofen, and that was more than enough. I wonder how much of this comes pharmaceutical sales reps pressuring the doctors to use their medicine. That whole system seems…

Capitalist medicine is to blame, when you can vote with your money you can pick the doctor who does what you want, not what's best for you.

What? Even in single payer systems you can choose your doctor!

Re: The Family Making Billions from the Opioid Crisis

#79
post #74

I was on Oxy for about a month after smashing one of my vertibraes into pieces in a climbing accident, I was prescribed more than three times as much. I walked through hell to get out of that crap; nothing else I've encountered even comes close, including heroine and cocaine. There are several natural, less addictive and less harmful methods for treating chronic pain; cannabis, mushrooms and meditation among others.…

Perdue Pharma, the producer of Oxy, is basically making half of its customers into drug addicts by lying about "12-hours" of "effective" pain relief. The LA Times ran an investigation into Perdue Pharma's claim[1] and the article is incredibly disturbing. This is the killer quote: > "More than half of long-term OxyContin users are on doses that public health officials consider dangerously high, according to an analys…

From my perspective, OxyContin is obviously designed to be as addictive as possible; and they have been lying all along. These people are not fully functioning humans, they will do whatever it takes to generate more profits. I promised myself to never touch their artificial crap again; if it doesn't grow on the ground, I'm not interested.

Re: The Family Making Billions from the Opioid Crisis

#80

Earlier quoted context omitted.

Ick! This reinforces my belief that direct-to-consumer advertising of prescription drugs should be illegal.

It is nearly everywhere. New Zealand, USA and Brazil allow it.

That's not a long list of countries.
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